Not for the first time, I came down sick on my travels. In 2006, I broke my right shoulder in Tierra del Fuego and received care for it at a clinic in Ushuaia. In 2015, I got food poisoning and had simultaneous diarrhea and vomiting: That time, I cured myself by taking extra Prednisone and managing to keep it down. On this trip, I got food poisoning in Acoma at the tribal Sky City Casino. It was the same diarrhea and vomiting with the addition of chills (though unaccompanied by fever). I wasn’t going to mess around this time. I asked Martine to drive me to the nearest hospital.
The front desk of the Cassino hotel directed us to the Acoma Cañoncito Laguna Service Unit of the Indian Health Service, which, luckily, was just down the street. I was very fortunate that the doctors who interviewed me listened to me and put me on an IV with Solu-Cortef and sulfur (to relieve the nausea). Within two or three hours, I was as good as new. Martine, however, was worried as she sat in the waiting room.
My guess is that I was seriously dehydrated, and that brought on an Addisonian Crisis. As I have no pituitary gland, I had to have an infusion of ACTH with the IV. Once that happened, recovery was quick. The ACL Service Unit did not have any beds, but offered to have me driven to one of the big Albuquerque hospitals an hour east. I thanked them, but refused their offer. Once they get me in a hospital, doctors like to prod and poke me for several days because of my interesting mix of endocrinological issues. I did not want to give them the opportunity, perhaps coming down with a super infection in the process.
The Indian Health Service personnel were very competent, which made me feel good that the Indians—together with one stray traveler—were getting good care.